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South Dakota rates for HCPCS K0009

Other manual wheelchair/base

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.08 / $959.04 / $959.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.35 / $855.35 / $2,355.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.75 / $1,215.79 / $1,504.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.45 / $1,200.04 / $4,660.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.52 / $703.78 / $782.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.02 / $114.26 / $114.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.53 / $209.91 / $1,187.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.58 / $488.98 / $782.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.83 / $934.83 / $934.83